| NPI | 1285627075 |
|---|---|
| Former Legal Business Name | PRIME CARE PHYSICIANS, P.C. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WHALEN Director Of Administration 518-435-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 20913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 20913) |
| 207R00000X Internal Medicine (Licence: NY 20913) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 20913) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 20913) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 20913) | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 20913) | |
| 208000000X Pediatrics (Licence: NY 20913) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 20913) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 20913) | |
| 208M00000X Hospitalist (Licence: NY 20913) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 20913) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 20913) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NY 20913) | |
| 133V00000X Dietitian, Registered (Licence: NY 20913) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-03-28 |